How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $102.33 Median $117.49 Typical High $239.88 | Facility | None | $102.33 | $117.49 | $239.88 |
Aetna Setting Professional Modifier None (both parts) Typical Low $102.33 Median $102.33 Typical High $169.82 | Professional | None (both parts) | $102.33 | $102.33 | $169.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $31.62 Typical High $47.86 | Professional | 26 · Professional part | $27.54 | $31.62 | $47.86 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $72.44 Typical High $128.82 | Professional | TC · Technical part | $72.44 | $72.44 | $128.82 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $61.66 Median $69.18 Typical High $97.72 | Professional | None (both parts) | $61.66 | $69.18 | $97.72 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $29.51 Typical High $32.36 | Professional | 26 · Professional part | $29.51 | $29.51 | $32.36 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $43.65 Typical High $43.65 | Professional | TC · Technical part | $43.65 | $43.65 | $43.65 |
BCBS Arizona Setting Facility Modifier None Typical Low $50.12 Median $218.78 Typical High $323.59 | Facility | None | $50.12 | $218.78 | $323.59 |
BCBS Arizona Setting Professional Modifier None (both parts) Typical Low $81.28 Median $81.28 Typical High $154.88 | Professional | None (both parts) | $81.28 | $81.28 | $154.88 |
BCBS Arizona Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $22.91 Typical High $43.65 | Professional | 26 · Professional part | $22.91 | $22.91 | $43.65 |
BCBS Arizona Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $58.88 Typical High $112.20 | Professional | TC · Technical part | $58.88 | $58.88 | $112.20 |
Cigna Setting Facility Modifier None Typical Low $234.42 Median $288.40 Typical High $354.81 | Facility | None | $234.42 | $288.40 | $354.81 |
Cigna Setting Professional Modifier None (both parts) Typical Low $85.11 Median $102.33 Typical High $169.82 | Professional | None (both parts) | $85.11 | $102.33 | $169.82 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $30.20 Typical High $53.70 | Professional | 26 · Professional part | $25.70 | $30.20 | $53.70 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $70.79 Typical High $120.23 | Professional | TC · Technical part | $57.54 | $70.79 | $120.23 |
Medica Setting Facility Modifier None Typical Low $102.33 Median $147.91 Typical High $512.86 | Facility | None | $102.33 | $147.91 | $512.86 |
Medica Setting Professional Modifier None (both parts) Typical Low $102.33 Median $660.69 Typical High $660.69 | Professional | None (both parts) | $102.33 | $660.69 | $660.69 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $218.78 Typical High $218.78 | Professional | 26 · Professional part | $31.62 | $218.78 | $218.78 |
Medica Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $457.09 Typical High $457.09 | Professional | TC · Technical part | $69.18 | $457.09 | $457.09 |
United Setting Professional Modifier None (both parts) Typical Low $72.44 Median $107.15 Typical High $154.88 | Professional | None (both parts) | $72.44 | $107.15 | $154.88 |
United Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $32.36 Typical High $50.12 | Professional | 26 · Professional part | $30.20 | $32.36 | $50.12 |
United Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $74.13 Typical High $109.65 | Professional | TC · Technical part | $38.90 | $74.13 | $109.65 |
3 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $51.29 Median $51.29 Typical High $51.29 | Professional | 52 · Reduced service | $51.29 | $51.29 | $51.29 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.42 Median $20.42 Typical High $20.42 | Professional | 53 · Discontinued | $20.42 | $20.42 | $20.42 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $83.18 Median $83.18 Typical High $83.18 | Professional | FX · Film X-ray | $83.18 | $83.18 | $83.18 |
Where Arizona sits
The same service costs 4.2 times more in Alaska than in Utah. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Arizona· 35th of 51
$110
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.